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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700104
Report Date: 03/13/2024
Date Signed: 03/13/2024 08:26:44 AM

Document Has Been Signed on 03/13/2024 08:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BAWAZIR, AMEERA & GHNIMAT, FERASFACILITY NUMBER:
015700104
ADMINISTRATOR:BAWAZIR, AMEERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 480-8126
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
03/13/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:31 AM
MET WITH:Ameera BawazirTIME COMPLETED:
11:42 AM
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Licensing Program Analyst Sidney Cortez, met with licensee Ameera Bawazir for an Unannounced Annual Random Inspection. Present for this visit was the licensee Ameera Bawazir and 2 children . The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 6:00AM until 6:00 PM, MONDAY-FRIDAY.The home is a single story home, 2 bathroom, 3 bedrooms, living room and consists of rooms as initially licensed. The home is neat and clean with heating and ventilation for safety and comfort. The on limit areas are the living room, two bedrooms, bathroom, kitchen, and partial backyard area. The off limit areas are the master bedroom and master bathroom, garage, and part of the play area in the backyard which will be inaccessible by closed and/or locked doors and visual supervision. The isolation area will be a section of the living room. There is a fully fenced outdoor yard and play area which is free from defects or dangerous conditions. There are ample age appropriate toys that are safe and appear to be clean. All hazardous materials and toxins are kept out of the reach of children.

The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee Health and Safety training is completed and CPR and First Aid certificates are current and expires in NOV, 2024. The licensee is in compliance with new immunization laws which pertain to day care providers. Per licensee, there are no firearms in the home. A copy of the mortgage statement was reviewed and shows control of property.The licensee's mandated reporter training is current and expires (MARCH 2024). Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on OCT 202.3 (2) Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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